Hemobilia after liver biopsy. Early detection in a patient with mild hemophilia A

Elte, P. M.

doi:10.1001/archinte.140.6.839

Cited by 23 publications

(9 citation statements)

References 8 publications

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“…The number of passes varied from 1 to 3 in the 4 cases reported in the literature [6, 7, 8, 9]. In the present case, it was performed in 2 passes.…”

Section: Discussionmentioning

confidence: 96%

“…Only few cases of acute cholecystitis secondary to percutaneous liver biopsy have been reported [6, 7, 8, 9, 10, 11]. The number of passes varied from 1 to 3 in the 4 cases reported in the literature [6, 7, 8, 9].…”

Section: Discussionmentioning

confidence: 99%

“…These complications include bleeding into the peritoneal or thoracic cavity, hemobilia, enteric perforation, and intrahepatic hematoma [3, 4, 5]. Only few cases of acute cholecystitis have been described after liver biopsy [6, 7, 8, 9, 10, 11]. Our objective is to report the case of a patient who developed acute cholecystitis secondary to percutaneous liver biopsy.…”

Section: Introductionmentioning

confidence: 99%

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Acute Cholecystitis Secondary to Hemobilia after Percutaneous Liver Biopsy

Coelho¹,

Bonin²,

Costa³

et al. 2001

Dig Surg

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A case of obstructive acute cholecystitis following percutaneous liver biopsy is presented. The patient complained of intense and continuous pain in the right upper quadrant of the abdomen 2 days after the liver biopsy. On abdominal examination, Murphy’s sign was present. Hemogram revealed a fall in the hematocrit level from 44 to 38 because of hemobilia. Ultrasonography showed a dilated gallbladder with moderate thickness of the wall and a blood clot of 20 × 9 mm inside. The patient was subjected to laparoscopic cholecystectomy. The acute inflammation of the gallbladder was secondary to obstruction of the cystic duct by the blood clot. The postoperative period was uneventful.

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“…The number of passes varied from 1 to 3 in the 4 cases reported in the literature [6, 7, 8, 9]. In the present case, it was performed in 2 passes.…”

Section: Discussionmentioning

confidence: 96%

Section: Discussionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

See 1 more Smart Citation

Acute Cholecystitis Secondary to Hemobilia after Percutaneous Liver Biopsy

Coelho¹,

Bonin²,

Costa³

et al. 2001

Dig Surg

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“…The bleeding was either spontaneous or after liver biopsy (both transjugular or transabdominal). 17–19 Diagnosis on clinical grounds is difficult, but it should be suspected immediately when a patient with hemophilia has undergone liver biopsy. Sonography, CAT, MRI, and retrograde cholangiography are diagnostic.…”

Section: Resultsmentioning

confidence: 99%

Rare and Unusual Bleeding Manifestations in Congenital Bleeding Disorders

Girolami

Vettore

Ruzzon

et al. 2011

Clin Appl Thromb Hemost

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Epistaxis, superficial and deep hematomas, hemarthrosis, gastrointestinal bleeding, hematuria represent the most frequent hemorrhagic events in congenital coagulation disorders. Occasionally, bleeding manifestations occur in unusual sites or are peculiar. A clotting defect may alter the clinical aspect of skin conditions or infections (hemorrhagic scabies or varicella). Hemobilia may occur as a complication of transjugular liver biopsy in hemophilia or Bernard-Soulier syndrome. Hemarthrosis of small joints of feet and hands occur in patients with hemophilia treated with protease inhibitors. Intramedullary hematomas of long bones have been described in α2-plasmin inhibitor or fibrinogen deficiencies. Spleen fracture with consequent hemoperitoneum has been reported in patients with fibrinogen deficiency. Rectus muscle sheath hematoma may occur in patients with factor VII (FVII)or FX deficiency. Acute or subacute intestinal obstruction may be caused by intramural wall hematomas in hemophilia and von Willebrand (vW)-disease. Physicians should always keep in mind that a congenital hemorrhagic disorder may cause bleeding in any tissue of the body and therefore alter the normal clinical features of a given disease.

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“…A coagulation defect may be the cause of bleeding in the biliary tract either spontaneously, when the coagulopathy is pronounced as in a case reported by Jensen and Matzen [20] of thrombocytopenia, or when combined with some small pathology as described by Elte et al [21]. Hemobilia occurred following liver biopsy in a patient (case 10) with mild hemophilia A, despite adequate factor VIII transfusion.…”

Section: Coagulopathiesmentioning

confidence: 92%

Hepatic hemobilia: Hemorrhage from the intrahepatic biliary tract, a review

1984

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Hepatic hemobilia is defined as hemorrhage arising from pathological changes in the intrahepatic biliary tract. The main causes are iatrogenic trauma, cholangitis, tumors, and coagulopathy. The salient features of the hemobilia syndrome are described and their causes explained. The treatment, when necessitated by hemorrhage or clot formation, is either resection of the liver or occlusion of the responsible artery by ligature or embolization. The iatrogenic trauma may be operative, resulting from instrumental lesion of the bile ducts, needle biopsy, transhepatic cholangiography, biliary tract prosthesis, or inlaying hepatic artery catheters. Among the inflammatory etiologies, special attention is given to nematodes in the ducts, "the tropical hemobilia." Spontaneous hemobilia may, just as nose bleeds or hematuria, result from treatment with anticoagulants.

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Hemobilia after liver biopsy. Early detection in a patient with mild hemophilia A

Cited by 23 publications

References 8 publications

Acute Cholecystitis Secondary to Hemobilia after Percutaneous Liver Biopsy

Acute Cholecystitis Secondary to Hemobilia after Percutaneous Liver Biopsy

Rare and Unusual Bleeding Manifestations in Congenital Bleeding Disorders

Hepatic hemobilia: Hemorrhage from the intrahepatic biliary tract, a review

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